DNB CTVS questions- December 2014


1. Discuss in brief “coagulation cascade” . how will you plan anticoagulation in a lady with prosthetic valve during pregnancy? 5+5
2. discuss pathophysiology , types ,& principles of management of double outlet right ventricle (DORV) 3+3+4
3. what is fibrous skeleton of heart? Draw a labeled diagram of it. what are the surgical implications of these structures in different procedures? 2+2+6
4. describe mechanism of cerebral injury during cardiopulmonary bypass. Discuss various neuroprotective strategies.5+5
5.illustrate the surgical anatomy of aortic root. Draw labeled diagram to show methods of aortic root enlargement.4+6
6. Discuss lymphatic drainage of lungs to mediastinal lymph nodes. Illustrate lymph node stations in relation to bronchogenic carcinoma.4+6
7. Describe various criteria to diagnose left ventricular hypertrophy on electrocardiogram. Enumerate various treatment options available for hypertrophic obstructive cardiomyopathy HOCM.5+5
8. a) describe the anatomy of venous drainage of heart.4
b) draw a diagram of triangle of Koch 4
c) enumerate various coronary sinus interventions. 2
9.Discuss pathophysiology of cardiopulmonary bypass (CPB). Compare the effects of CPB in terms of hypothermia and normothermia.5+5
10. Discuss applications of statistical tests. What are limitations and deficiencies of these tests , related to research skills in Cardiac surgery?6+4

December 2014  Paper II
1. Discuss various techniques of total chordal preservation of mitral valve.10
2. Discuss the pathophysiology and management of hypoplastic left heart syndrome.4+6
3. Enumerate various cardiac tumours. Briefly discuss clinical presentation , diagnosis and management of the commonest primary tumor of the heart in adults.3+7
4.Enumerate various systemic pulmonary shunt operations done for congenital cyanotic heart disease. Describe complications of any two shunts .4+3+3
5. Describe pathology , investigations and treatment of chronic constructive pericarditis.2+4+4
6. Discuss concept and relevance of intracoronory shunts and stabilisers used in OPCABG.4+3+3
7. compare outcome and techniques of classical and fenestrated fontans operation . 5+5
8. Classify total anomalous pulmonary venous connection. Describe various radiologic features . Describe various risk factors involved in its surgical management.Enumerate early and late complications .2+3+2+3
9. Describe fetal circulation. Mention changes at birth . What are the fundamental physiological consequences due to these changes in neonate?3+2+5
10. Describe indications of transesophageal echo cardiography . Describe various views used for valves and cardiac function. 5+5

December 2014   Paper III
1. Describe principles and various uses of PET in cardiac evaluation 5+5
2. Discuss the risk factors for developing paraplegia during coarctation of aorta repair and management to prevent it 4+6
3. Discuss indications and complications of lung resection surgery . what is completion pneumonectomy?(4+4)+2
4. Classify thymic tumours and describe role of thymectomy in myasthenia gravis. 4+6
5. Describe concept of “Tissue engineered heart valves” .Describe in brief current status of heart valve banking and heart valves substitutes in India .3+4+3
6. Describe etiology , clinical features and treatment of infantile lobar emphysema 2+3+5
7. Define and classify heart failure. 2+2
Discuss current status of total artificial heart.6
8. Describe gene therapy in ischaemic heart disease.10
9. When is myocardial viability test is indicated ? Discuss current modalities available for this test.4+6
10. Discuss the indications and scope of robotic in cardiac surgery.4+6

Author: what2talk

Myself, Dr. Sibashankar Kar, doing my Cardiothoracic Surgery in Sir Ganga Ram Hospital. The purpose I have made this website is to discuss on the topics of cardiology and cardiac surgery as a whole with their complexities.

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